Print out this form and send it in to join us.
New member ___ Renewal ___
Dues Level: (Circle one)
Single $8.00 Joint $10.00 Student $4.00 Lifetime $150.00
City _________________ State ______________ ZIP _________-_____
Email Address: ______________________________________________
I prefer to recieve my quarterly "Washington" newsletter by _____ US Mail or Email ______
Are you also a member of the Ohio Genealogical Society? ____
Please list the Washington County names you are researching.
Signature for permission to print names being researched: _______________________________
Amount enclosed $ _________.
Make checks payable to: Washington County Chapter OGS
Mail to: Washington County Chapter OGS, PO Box 2174, Marietta, OH 45750-7174.